NPIMap

Organization Active NPI

East West Anesthesia LLC

  • Anesthesiology Physician
  • Fleming Island, FL
National Provider Identifier
1194435651
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EAST WEST ANESTHESIA LLC
Practice address
1855 Eastwest Pkwy
Fleming Island, FL 32003-6348
Phone
(904) 272-2020
NPI assigned
Nov 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric King
Title
Ceo
Phone
(904) 272-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1855 Eastwest Pkwy
Fleming Island, FL 32003-6348

Mailing address

PO Box 22562
Tampa, FL 33622-2562
Phone (904) 272-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230116000643 FL Part B Supplier - Clinic/Group Practice 8628449402 Receives reassigned benefits from 15 practitioners
Practice locations: Fleming Island, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1194435651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22562",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336222562",
            "telephone_number": "904-272-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 EASTWEST PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036348",
            "telephone_number": "904-272-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-24",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-272-2020"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.